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Piezo-assisted Turbinoplasty Versus Partial Turbinectomy in External Septorhinoplasty: A Prospective Comparative Study in 100 Patients

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  • Rhinoplasty
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Abstract

Objectives

The purpose of this study was to compare the outcome of the piezo-assisted turbinoplasty with a partial turbinectomy technique in the treatment of chronic nasal obstruction due to inferior turbinate enlargement.

Study design

This is a prospective randomized single-center study in a cohort of 100 consecutive patients which underwent external septorhinoplasty and concomitant hybrid type of turbinoplasty.

Methodology

Patients were randomly assigned into two groups. The first group included 50 patients who underwent piezo-assisted outfracturing of the inferior turbinates in combination with bipolar coagulation. The second group included 50 patients who underwent a treatment based on turbinate bipolar coagulation and partial resection of the inferior border of the turbinate. The severity of nasal obstruction was measured in both patient groups with a patient-related outcome questionnaire (NOSE) and objective measures (anterior rhinomanometry and acoustic rhinometry). Assessments were conducted prior to surgery and 3 months after the surgery.

Results

There was a significant improvement in the values of the NOSE questionnaire with no relevant difference between the two study groups. Acoustic rhinometry and rhinomanometry also showed no statistically significant differences between the two study groups. No differences in postoperative healing were found, and postoperative complications were comparable low in both groups. However, the piezo-assisted procedure was quicker to perform with only minimal bleeding.

Conclusion

During septorhinoplasty, the combination of thermo-coagulation with piezo-assisted turbinoplasty was as efficient as with partial turbinectomy to establish normal nasal breathing.

Level of Evidence III

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Funding

The authors declare that this study has received no financial support.

Author information

Author notes

  1. Dr. Verkest and Dr. **net contributed equally to this work.

Authors and Affiliations

  1. Department of Otorhinolaryngology, Head & Neck Surgery, Sint-Vincentius Hospital, GZA-Ziekenhuizen, Antwerp, Belgium

    Valérie Verkest, Laura **net & Frank Declau

  2. StatUa, Center of Statistics, University of Antwerp, Antwerp, Belgium

    Erik Fransen

  3. Department of Otorhinolaryngology, Head & Neck Surgery, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium

    Frank Declau

Authors
  1. Valérie Verkest
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  2. Laura **net
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  3. Erik Fransen
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  4. Frank Declau
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Corresponding author

Correspondence to Valérie Verkest.

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Conflict of interest

The authors have no conflicts of interest to declare.

Ethical approval

The study was conducted according to the declaration of Helsinki and approved by the Ethics committee of the GZA ziekenhuizen (Approval number: 190301ACADEM). Written consent was obtained from all patients.

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Verkest, V., **net, L., Fransen, E. et al. Piezo-assisted Turbinoplasty Versus Partial Turbinectomy in External Septorhinoplasty: A Prospective Comparative Study in 100 Patients. Aesth Plast Surg 46, 1323–1331 (2022). https://doi.org/10.1007/s00266-021-02662-0

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  • DOI: https://doi.org/10.1007/s00266-021-02662-0

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